Pilgrim Manor Guest Care Center, Llc

NPI 1063454338 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1063454338
Enumeration Date 06/12/2006
Last Updated 08/27/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Position OFFICER
Phone (318) 742-1623
Fax (318) 742-2878
Practice Location
BOSSIER CITY LA, 71111-3322, US
Phone (318) 742-1623
Fax (318) 742-2878
Business Location
PO BOX 52389
SHREVEPORT LA, 71135-2389, US
Phone (318) 798-2648
Fax (318) 798-3451
Taxonomy Code 314000000X
License State Louisiana
License Number 873
Remove 1063454338 NPI Number

According to our database, Pilgrim Manor Guest Care Center, Llc NPI is 1063454338, taxonomy code is 314000000X and license number is 873, license state is located at Louisiana. Pilgrim Manor Guest Care Center, Llc physically located at 1524 Doctors Dr, Bossier City LA, 71111-3322. NPI Number 1033115704 has the healthcare provider type.

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1063454338 NPI number is provided on an as is basis without warranty of any kind. 1063454338 is maintained by the National Plan & Provider Enumeration System. The contents of Pilgrim Manor Guest Care Center, Llc are for informational purposes only.